1976, 09-22 Permit App: L5516 Residence3_.sic
Canty of Spokane, Washington
J ob ; 132
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 50.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45 -133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right -of -way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and /or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LIME
Name of Owner 4i chard RPev�� Ccm L . 0 Address i�•0.}3X.1 q -217 Spokane 9921 n. Phone 320 -`
Architect Address Phone
Engineer Address Phone
Contractor same Address same Phone same
Legal Description of Property (Give complete description from deed, tax receipt, etc 1
F
4a j- /6 -- ?i K. LOOdal
Parcel # None Sec. 20 -25 -44
DESCRIPTIO OFyl �O K: New X Addition Remodel Moving Bldg. Zone / Fire Zone
5Cx15 septic game
Size of Lot Sewage System �FrnsConc., Br., etc.)
5 x24 12x22 2,00n 42,000.00
Stories %dimensions 4 Total Sq. Ft r Valuation
Rooms Baths 2 Basement x Foundation Const T' e e Chimney _ Fireplace 2
Full, part, none) (Kind) (Number
Heat. System z` s Type of Roofing
shake Ext. Finish DlywoOd Int. Wall Finish Thr_ywall_
No. of Units _ Bedrooms
Use of Bldg. sinle f- res-, � d
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
attached.
SOUTH
I hereby certify information submitted is correct
as— s)town,- �/—���
��1,�!I�CC, i .r-r w _+, i (2it_.c n t
Own r or Agent
State License No.
r1- ch- ar- c243cf
Ind. Ins. Acct. No.
232 -257
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
9/22/76
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be 'I 70 / tc: ry ALJ The zone is °b)/I; b �3'1.0.s
Sewage Permit Number Issued Building Permit 45 j 167 Receipt Issued
Remarks
Form 523 Bldg. Code
O
0
i'46 GAL -
/ F4 I I.7f .4dN IriVz/
51f'o''
, s,.60 -R. A7
3.2f